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Archived: The Old Rectory Inadequate

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Inspection report

Date of Inspection: 25 September 2014
Date of Publication: 4 November 2014
Inspection Report published 04 November 2014 PDF | 74.32 KB

The service should have quality checking systems to manage risks and assure the health, welfare and safety of people who receive care (outcome 16)

Meeting this standard

We checked that people who use this service

  • Benefit from safe quality care, treatment and support, due to effective decision making and the management of risks to their health, welfare and safety.

How this check was done

We carried out a visit on 25 September 2014, observed how people were being cared for, checked how people were cared for at each stage of their treatment and care and talked with people who use the service. We talked with staff and reviewed information given to us by the provider.

Our judgement

The provider had an effective system in place to identify, assess and manage risks to the health, safety and welfare of people who use the service and others.

Reasons for our judgement

Our inspection of 26 and 27 July 2014, found that improvements were needed because Quality and auditing systems were not effective.

Since our last inspection new systems were in place to monitor the quality of the service. Surveys had been devised and sent out but the service had not yet received responses from relatives or outside professionals. However, there were thank you cards from relatives and comments were positive. Surveys for people who used the service had been distributed and responses were analysed and actions had been taken. One person had stated that they wanted to attend a family wedding and they had been supported to do this by the service.

Questionnaires had been sent to staff and people who used the service and included the question, “What do we do well?” one person said “look after us” another person said “help me with my problems”. Another question was, “What don’t we do well?”. One person said “I would like staff to spend more time with me” We spoke to the person and they told us that staff now spend more time with them and that they go out more. Another person said they wanted to go for walks more often and told us that they walk a lot more now.

Staff surveys were sent out in July 2014 and the results were analysed. As a result the home has a new whistleblowing policy as the survey found that staff were not sure about whistleblowing.

Staff meetings were now conducted on a monthly basis and plans were in place to introduce learning sessions during the staff meetings. The deputy manager told us “Staff will have the opportunity to decide what they would like covered in these sessions.

Staff were supported through regular supervision and received the necessary training such as moving and handling, health and safety, first aid and person specific training included dementia, diabetes and nutrition. Plans were in place to include behaviour that challenged the service and autism updates.

Accidents and incidents were reported and analysed. The service took action to prevent accidents and incidents from reoccurring.